DRUG RESISTANCE IN HELICOBACTER PYLORI
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de gastroenterologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032016000400215 |
Resumo: | ABSTRACT Background Helicobacter pylori has a worldwide distribution and is associated with the pathogenesis of various diseases of the digestive system. Treatment to eradicate this microorganism involves the use of a combination of antimicrobials, such as amoxicillin, metronidazole, clarithromycin, and levofloxacin, combined with proton pump inhibitors. Although the current therapy is effective, a high rate of treatment failure has been observed, mainly because of the acquisition of point mutations, one of the major resistance mechanisms developed by H. pylori. This phenomenon is related to frequent and/or inappropriate use of antibiotics. Conclusion This review reported an overview of the resistance to the main drugs used in the treatment of H. pylori, confirming the hypothesis that antibacterial resistance is a highly local phenomenon and genetic characteristics of a given population can influence which therapy is the most appropriate. |
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DRUG RESISTANCE IN HELICOBACTER PYLORIHelicobacter pyloriMicrobial drug resistancePoint mutationABSTRACT Background Helicobacter pylori has a worldwide distribution and is associated with the pathogenesis of various diseases of the digestive system. Treatment to eradicate this microorganism involves the use of a combination of antimicrobials, such as amoxicillin, metronidazole, clarithromycin, and levofloxacin, combined with proton pump inhibitors. Although the current therapy is effective, a high rate of treatment failure has been observed, mainly because of the acquisition of point mutations, one of the major resistance mechanisms developed by H. pylori. This phenomenon is related to frequent and/or inappropriate use of antibiotics. Conclusion This review reported an overview of the resistance to the main drugs used in the treatment of H. pylori, confirming the hypothesis that antibacterial resistance is a highly local phenomenon and genetic characteristics of a given population can influence which therapy is the most appropriate.Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. 2016-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032016000400215Arquivos de Gastroenterologia v.53 n.4 2016reponame:Arquivos de gastroenterologia (Online)instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiainstacron:IBEPEGE10.1590/S0004-28032016000400002info:eu-repo/semantics/openAccessVIANNA,Júlia SilveiraRAMIS,Ivy BastosRAMOS,Daniela FernandesVON GROLL,AndreaSILVA,Pedro Eduardo Almeida daeng2016-09-27T00:00:00Zoai:scielo:S0004-28032016000400215Revistahttp://www.scielo.br/aghttps://old.scielo.br/oai/scielo-oai.php||secretariaarqgastr@hospitaligesp.com.br1678-42190004-2803opendoar:2016-09-27T00:00Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiafalse |
dc.title.none.fl_str_mv |
DRUG RESISTANCE IN HELICOBACTER PYLORI |
title |
DRUG RESISTANCE IN HELICOBACTER PYLORI |
spellingShingle |
DRUG RESISTANCE IN HELICOBACTER PYLORI VIANNA,Júlia Silveira Helicobacter pylori Microbial drug resistance Point mutation |
title_short |
DRUG RESISTANCE IN HELICOBACTER PYLORI |
title_full |
DRUG RESISTANCE IN HELICOBACTER PYLORI |
title_fullStr |
DRUG RESISTANCE IN HELICOBACTER PYLORI |
title_full_unstemmed |
DRUG RESISTANCE IN HELICOBACTER PYLORI |
title_sort |
DRUG RESISTANCE IN HELICOBACTER PYLORI |
author |
VIANNA,Júlia Silveira |
author_facet |
VIANNA,Júlia Silveira RAMIS,Ivy Bastos RAMOS,Daniela Fernandes VON GROLL,Andrea SILVA,Pedro Eduardo Almeida da |
author_role |
author |
author2 |
RAMIS,Ivy Bastos RAMOS,Daniela Fernandes VON GROLL,Andrea SILVA,Pedro Eduardo Almeida da |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
VIANNA,Júlia Silveira RAMIS,Ivy Bastos RAMOS,Daniela Fernandes VON GROLL,Andrea SILVA,Pedro Eduardo Almeida da |
dc.subject.por.fl_str_mv |
Helicobacter pylori Microbial drug resistance Point mutation |
topic |
Helicobacter pylori Microbial drug resistance Point mutation |
description |
ABSTRACT Background Helicobacter pylori has a worldwide distribution and is associated with the pathogenesis of various diseases of the digestive system. Treatment to eradicate this microorganism involves the use of a combination of antimicrobials, such as amoxicillin, metronidazole, clarithromycin, and levofloxacin, combined with proton pump inhibitors. Although the current therapy is effective, a high rate of treatment failure has been observed, mainly because of the acquisition of point mutations, one of the major resistance mechanisms developed by H. pylori. This phenomenon is related to frequent and/or inappropriate use of antibiotics. Conclusion This review reported an overview of the resistance to the main drugs used in the treatment of H. pylori, confirming the hypothesis that antibacterial resistance is a highly local phenomenon and genetic characteristics of a given population can influence which therapy is the most appropriate. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032016000400215 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032016000400215 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-28032016000400002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. |
publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. |
dc.source.none.fl_str_mv |
Arquivos de Gastroenterologia v.53 n.4 2016 reponame:Arquivos de gastroenterologia (Online) instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia instacron:IBEPEGE |
instname_str |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia |
instacron_str |
IBEPEGE |
institution |
IBEPEGE |
reponame_str |
Arquivos de gastroenterologia (Online) |
collection |
Arquivos de gastroenterologia (Online) |
repository.name.fl_str_mv |
Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia |
repository.mail.fl_str_mv |
||secretariaarqgastr@hospitaligesp.com.br |
_version_ |
1754193347893788672 |